|Hospitals, physicians, and health plans are all restructuring in preparation for new payer payment policies incentives and reforms. Massachusetts is already seeing this with the proposed merger between the second and third largest health plans, Harvard Pilgrim and Tufts Health Plan. The merger would allow them to share administrative costs and create a more efficient means to adopt healthcare reform measures, but will also bring them far greater negotiating power with providers.
The Harvard new partnership with Tufts will provide new competition with insurance companies and power to negotiate with providers. This creates a new power to negotiate with drug companies. Is this a new opportunity? Does the marketing and sales programs of the past work in this new environment? Is it time to address the evolution of healthcare with SMT proven innovative strategies?